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Abstract

Evaluation of Parenteral Nutrition Practices at Neonatal Intensive Care Units in Gaza City: Hospital-Based Study †

by
Dalia Ayyad
1,*,
Jehad El-Hissi
1 and
Ihab Almasri
2
1
Master Program of Clinical Nutrition, Al-Azhar University Gaza (AUG), Gaza P.O. Box 405, Palestine
2
Faculty of Pharmacy, Al-Azhar University Gaza (AUG), Gaza P.O. Box 405, Palestine
*
Author to whom correspondence should be addressed.
†
Presented at the Second International Conference on Applied Medical Sciences 2023 (ICAMS-II) and the International Conference on Enhancing Clinical Nutrition in Palestine (ECNAD), Gaza, Palestine, 14–16 March 2023.
Proceedings 2023, 88(1), 14; https://doi.org/10.3390/proceedings2023088014
Published: 31 August 2023
Versions Notes

Abstract

:
Adequate nutritional support for neonates who are sick is challenging due to the difficulty of feeding during their illness and instability. Although feeding through the gastrointestinal tract is the preferred route, there are specific conditions where Parenteral Nutrition (PN) as an adjunctive or sole therapy is necessary. There is a relationship between PN practices and morbidity and mortality in early neonatal life among hospitalized neonates. This study aims to evaluate the short-term impact of Parental Nutrition (PN) practices on the nutritional status of neonates in the two central Neonatal Intensive Care Units (NICUs) in Gaza city. This prospective observational cross-sectional, supported by in-depth interviews, included 50 neonates receiving PN support in two NICUs in Gaza between May 2019 and December 2020. Two data collection questionnaires were adapted from the international Audit Tool. Blood samples were analyzed for pre-albumin as a marker for malnutrition, and SPSS was used to analyze the obtained data. The study highlighted a lack of compliance with national and international guidelines. In 62% of the studied neonates, the daily calories were less than half their recommended energy requirements. There was a significant change in the mean body weight between birth weight and weight after the first and second weeks of PN initiation (p < 0.005). The mortality rate was 16% of the studied neonates. The results showed that neonates who were weaned and discharged home had statistically significantly higher pre-albumin between the 5th and 10th days of PN initiation (p value 0.032) and between the 10th and 15th days of PN initiation (t = 21.894, p value 0.00) compared to neonates who died. This study highlighted the impact of a lack of compliance with national and international standards on the outcome of neonates. There is a need to improve the quality and safety of PN practices at NUS in Gaza City.

Author Contributions

Conceptualization, D.A., J.E.-H. and I.A.; methodology, D.A.; validation, D.A., J.E.-H. and I.A.; formal analysis, D.A.; investigation, D.A.; resources, D.A.; data curation, D.A., J.E.-H. and I.A.; writing—original draft preparation; writing—review and editing, D.A., J.E.-H. and I.A.; supervision, J.E.-H. and I.A. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki, and approved by Helsinki committee for ethical Approval. protocol code PHCR/HC/353/18 and date of approval: 2 April 2018).

Informed Consent Statement

Informed consent from was obtained from all subjects involved in the study.

Data Availability Statement

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to privacy and confidentiality.

Conflicts of Interest

The authors declare no conflict of interest.
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

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MDPI and ACS Style

Ayyad, D.; El-Hissi, J.; Almasri, I. Evaluation of Parenteral Nutrition Practices at Neonatal Intensive Care Units in Gaza City: Hospital-Based Study. Proceedings 2023, 88, 14. https://doi.org/10.3390/proceedings2023088014

AMA Style

Ayyad D, El-Hissi J, Almasri I. Evaluation of Parenteral Nutrition Practices at Neonatal Intensive Care Units in Gaza City: Hospital-Based Study. Proceedings. 2023; 88(1):14. https://doi.org/10.3390/proceedings2023088014

Chicago/Turabian Style

Ayyad, Dalia, Jehad El-Hissi, and Ihab Almasri. 2023. "Evaluation of Parenteral Nutrition Practices at Neonatal Intensive Care Units in Gaza City: Hospital-Based Study" Proceedings 88, no. 1: 14. https://doi.org/10.3390/proceedings2023088014

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